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Emphasize the diagnosis and treatment of infective endocarditis in patients with severe burn / 中华烧伤杂志
Chinese Journal of Burns ; (6): 74-76, 2016.
Article in Chinese | WPRIM | ID: wpr-327369
ABSTRACT
The incidence and mortality of infective endocarditis (IE) in patients with severe burn remain high, which are attributed to invasive procedures, bacteremia, and wound infection after burns. Clinical clues for IE in burns are usually masked by burn-related manifestations, so the diagnosis of IE may be delayed or missed. For burned patients with persistent bacteremia of unknown source, especially Staphylococcus aureus-induced bacteremia, the diagnosis of IE should be considered according to the Duke criteria, and early echocardiography performance is particularly important. Antibiotic therapy is the mainstay initial management, and early surgical intervention is strongly recommended once IE is clearly diagnosed in patients with burns. In order to lower the incidence and mortality of IE in burns, it is very important to take prophylactic procedures along with the whole course of burn management.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Staphylococcal Infections / Staphylococcus aureus / General Surgery / Surgery, Plastic / Wound Infection / Severity of Illness Index / Burn Units / Burns / Epidemiology / Incidence Type of study: Diagnostic study / Incidence study / Prognostic study Limits: Humans Language: Chinese Journal: Chinese Journal of Burns Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Staphylococcal Infections / Staphylococcus aureus / General Surgery / Surgery, Plastic / Wound Infection / Severity of Illness Index / Burn Units / Burns / Epidemiology / Incidence Type of study: Diagnostic study / Incidence study / Prognostic study Limits: Humans Language: Chinese Journal: Chinese Journal of Burns Year: 2016 Type: Article